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WellPressed Account Sign Up and Update Form
What Would You Like To Do?
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Sign Up For A New Account
Update An Existing Account
Update Credit Card Only
Billing Information
First Name
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Last Name
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Email Address
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Company Name
Billing Address 1
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Billing Address 2
City
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State
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Zip
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Phone
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Pickup and Delivery Information
First Name
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Last Name
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Company Name
Pickup Address 1
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Pickup Address 2
Building
Floor
Department
Cube
City
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State
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Zip
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Phone
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Any Additional Information To Help Us Find You?
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Customer Preferences
How Would You Like Your Laundered Shirts?
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On Hangers
Boxed / Folded
How Would You Like Your Starch?
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No Starch
Light
Medium
Heavy
Credit Card Authorization
Card Number
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Expiration
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Name As It Appears On The Card
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Credit Card Type
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Visa
MasterCard
American Express
Discover / NOVUS
Special Instructions
Signature
Initials authorizing Dynasty Cleaners to charge the above credit card for laundry and dry cleaning services rendered.
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